REFER A CHILD

WISH KIDS

Referral Form for possible Wish Kids

"*" indicates required fields

Wish Kid Referral Form

Do you know a child between the ages of 3 and 21 years of age who might qualify as a Wishing Star Foundation Wish Kid? Please send us a referral so we can connect!
The child must be between 3 and 21 years old in order to qualify.
Gender of Child*
Address*
Would you like to keep this referral anonymous?*
Have you contacted the family about making this referral to Wishing Star?*
Has the child received a wish from another wish granting organization?*
Please tell us more about this family's situation or any other information you think we should know.
This field is for validation purposes and should be left unchanged.